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Climara is a skin patch medication that contains estradiol. Estradiol is estrogen which is a female sex hormone produced by the ovaries and necessary for many body processes. Climara patches are used to treat menopausal symptoms including hot flashes and vaginal burning, dryness and itching. Climara may also be prescribed to prevent postmenopausal osteoporosis and to treat ovarian disorders.

Make sure to always read the patient information and instructions before using this medication. Always follow your doctor’s directions.

• Climara patches should be applied to clean and dry areas of your lower stomach or buttocks. Hold down the patch for approximately ten seconds.
• Do not apply Climara to your breasts or to skin which is oily, irritated, broken or may easily be rubbed off.
• This medication patch is typically worn for one week and then replaced. Always follow your doctor’s directions.
• Always apply a new patch to a different area and wait at least a week before applying a patch to the same area.
• If a Climara patch falls off, re-apply it to a different area. If it doesn’t stick completely, apply a new patch and wear it for the rest of the seven-day period before applying a new patch.

Tell your doctor and pharmacist:

• About your drug and other allergies.
• If you take any other prescription or over-the-counter medications.
• Your medical history particularly of vaginal bleeding, cancer blood clots, stroke, heart disease, liver disease, kidney disease, breast lumps, cancer, blood clots, blood clotting disorders, high blood pressure, diabetes, angioedema, high cholesterol, triglycerides, obesity, lupus, underactive thyroid, mineral imbalance, hypoparathyroidism, uterus problems, gallbladder disease, asthma, seizures, migraines, porphyria, or mental and mood disorders.
• Your family medical history of breast lumps, cancer, blood clots and angioedema.
• If you will be having or have recently had surgery or if you will be confined to a bed or chair for a period of time. These conditions may increase the chance of blood clots.

You should also know:

• You should not smoke while taking this medication. Estrogens combined with smoking can increase the risk of stroke, heart attack, blood clots and high blood pressure particularly in women over 35.
• Do not use this medication during pregnancy. Use effective birth control while using Climara patches.
• Do not breast feed while using Climara.

Common side effects of Climara include but are not limited to:

• Skin redness or irritation where applied.
• Abdominal pain.
• Breast tenderness.
• Nausea or vomiting.
• Headache.
• Bloating or weight changes.

Get medical help if you have any of the following side effects of Climara:

• Mental or mood changes including memory loss or depression.
• Unusual vaginal bleeding including prolonged, recurrent bleeding, spotting or breakthrough bleeding.
• New or increased vaginal discharge, itching, irritation or odor.
• Severe stomach or abdominal pain.
• Breast lumps.
• Increased thirst or urination.
• Swelling of the hands, ankles or feet.
• Persistent nausea or vomiting.
• Jaundice.
• Dark urine.
• Symptoms of a serious problem caused by blood clots including unusual sweating, severe or sudden headache, weakness to one side of the body, confusion, slurred speech, sudden vision changes, leg pain, leg swelling, leg redness, trouble breathing, chest pain, jaw pain, left arm pain, coughing up blood, sudden dizziness, fainting or a tingling, weakness or numbness in your arms or legs.
• Symptoms of an allergic reaction such as difficulty breathing, hives or swelling in your face, lips or throat.

What should I do if I forget to change my patch?

If you forget to change your patch, change it as soon as you remember or wait until your next scheduled patch change. Do not wear two patches at once.

What should I do if my Climara patch falls off?

If a Climara patch falls off, re-apply it to a different area. If it doesn’t stick completely, apply a new patch and wear it for the rest of the seven-day period before applying a new patch.